Table D-6. Trending: Item-Level Average Percent Positive Response by Staff Position

Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report

Survey Items by CompositeDatabase
Year
Staff Position
Admin/
Mgmt
Attending/
Physician/
Resident/
PA or
NP
DietitianPat. Care
Asst/
Aide/
Care
Partner
Pharm-
acist
RN/
LVN/
LPN
Tech
(EKG, Lab,
Radiol)
Therapist
(Respir,
Phys,
Occup,
Speech)
Unit
Asst/
Clerk/
Secretary
# HospitalsBoth Years53925982430239637504447504
# RespondentsMost Recent26,02517,83694216,7464,525116,41333,12014,08920,964
Previous23,29117,28797216,2683,727102,90227,40212,50916,846
1.Teamwork Within Units
A1.People support one another in this unit.Most Recent94%90%87%80%84%87%82%90%83%
Previous93%86%89%79%84%87%82%89%83%
Change1%4%-2%1%0%0%0%1%0%
A3.When a lot of work needs to be done quickly, we work together as a team to get the work done.Most Recent94%86%88%78%82%87%85%89%84%
Previous93%85%87%77%82%86%84%88%84%
Change1%1%1%1%0%1%1%1%0%
A4.In this unit, people treat each other with respect.Most Recent89%87%82%72%78%79%74%84%75%
Previous88%83%83%71%77%79%73%83%75%
Change1%4%-1%1%1%0%1%1%0%
A11.When one area in this unit gets really busy, others help out.Most Recent79%71%77%66%66%69%66%77%70%
Previous78%68%75%63%67%68%65%75%67%
Change1%3%2%3%-1%1%1%2%3%
2.Supervisor/Manager Expectations & Actions Promoting Patient Safety
B1.My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures.Most Recent86%70%79%73%69%72%70%76%76%
Previous85%69%78%71%69%71%69%76%74%
Change1%1%1%2%0%1%1%0%2%
B2.My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent89%77%83%76%77%75%74%81%77%
Previous89%75%84%73%76%74%74%81%77%
Change0%2%-1%3%1%1%0%0%0%
B3R.Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent84%69%73%75%76%72%76%77%76%
Previous84%68%73%72%75%72%75%76%75%
Change0%1%0%3%1%0%1%1%1%
B4R.My supv/mgr overlooks patient safety problems that happen over and over.Most Recent85%74%79%74%77%76%76%80%78%
Previous85%74%79%73%76%75%76%79%76%
Change0%0%0%1%1%1%0%1%2%
3.Org Learning—Continuous Improvement
A6.We are actively doing things to improve patient safety.Most Recent90%84%85%87%87%85%83%86%83%
Previous90%84%85%85%85%84%83%84%83%
Change0%0%0%2%2%1%0%2%0%
A9.Mistakes have led to positive changes here.Most Recent81%68%63%63%77%63%64%62%63%
Previous80%67%63%60%76%62%63%59%61%
Change1%1%0%3%1%1%1%3%2%
A13.After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent80%63%71%76%62%71%67%71%71%
Previous78%63%70%74%59%70%66%69%70%
Change2%0%1%2%3%1%1%2%1%
4.Management Support for Patient Safety
F1.Hospital mgmt provides a work climate that promotes patient safety.Most Recent91%79%87%83%73%75%83%84%85%
Previous90%80%86%82%73%75%82%83%84%
Change1%-1%1%1%0%0%1%1%1%
F8.The actions of hospital mgmt show that patient safety is a top priority.Most Recent88%74%82%79%71%70%76%77%80%
Previous86%73%82%76%72%69%75%74%77%
Change2%1%0%3%-1%1%1%3%3%
F9R.Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent78%61%64%60%58%57%61%62%65%
Previous75%58%62%59%55%57%59%61%63%
Change3%3%2%1%3%0%2%1%2%
5.Overall Perceptions of Patient Safety
A10R.It is just by chance that more serious mistakes don't happen around here.Most Recent74%67%65%54%59%62%66%71%60%
Previous73%64%63%53%58%61%64%69%60%
Change1%3%2%1%1%1%2%2%0%
A15.Patient safety is never sacrificed to get more work done.Most Recent75%62%69%66%54%57%71%70%71%
Previous73%64%62%65%52%57%70%67%70%
Change2%-2%7%1%2%0%1%3%1%
A17R.We have patient safety problems in this unit.Most Recent75%63%68%63%56%58%72%73%69%
Previous72%61%62%61%53%58%70%70%67%
Change3%2%6%2%3%0%2%3%2%
A18.Our procedures and systems are good at preventing errors from happening.Most Recent80%72%73%74%69%70%77%77%74%
Previous79%71%71%72%68%69%76%74%73%
Change1%1%2%2%1%1%1%3%1%
6.Feedback & Communication About Error
C1.We are given feedback about changes put into place based on event reports.Most Recent72%52%59%63%55%55%55%60%61%
Previous70%52%61%58%52%54%54%59%59%
Change2%0%-2%5%3%1%1%1%2%
C3.We are informed about errors that happen in this unit.Most Recent80%59%67%71%65%60%67%67%71%
Previous78%59%66%67%64%59%67%66%69%
Change2%0%1%4%1%1%0%1%2%
C5.In this unit, we discuss ways to prevent errors from happening again.Most Recent86%70%75%74%71%69%71%74%74%
Previous85%69%72%71%69%68%70%73%73%
Change1%1%3%3%2%1%1%1%1%
7.Frequency of Events Reported
D1.When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?Most Recent66%49%51%66%39%54%58%54%65%
Previous63%49%54%65%35%53%57%52%62%
Change3%0%-3%1%4%1%1%2%3%
D2.When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent66%48%49%64%47%61%59%53%64%
Previous66%48%51%62%45%60%57%51%61%
Change0%0%-2%2%2%1%2%2%3%
D3.When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent81%68%67%75%70%76%75%71%76%
Previous81%67%70%73%68%75%74%68%75%
Change0%1%-3%2%2%1%1%3%1%
8.Communication Openness
C2.Staff will freely speak up if they see something that may negatively affect patient care.Most Recent85%73%78%73%73%75%75%81%76%
Previous84%73%74%73%73%74%75%80%76%
Change1%0%4%0%0%1%0%1%0%
C4.Staff feel free to question the decisions or actions of those with more authority.Most Recent70%57%51%42%51%45%43%52%44%
Previous69%54%50%40%52%45%43%52%44%
Change1%3%1%2%-1%0%0%0%0%
C6R.Staff are afraid to ask questions when something does not seem right.Most Recent75%64%65%58%68%62%63%68%61%
Previous74%63%65%57%66%62%61%68%63%
Change1%1%0%1%2%0%2%0%-2%
9.Teamwork Across Units
F2R.Hospital units do not coordinate well with each other.Most Recent58%46%50%47%38%44%43%48%47%
Previous54%44%47%44%38%43%41%48%47%
Change4%2%3%3%0%1%2%0%0%
F4.There is good cooperation among hospital units that need to work together.Most Recent71%62%65%62%50%57%58%63%61%
Previous67%59%67%58%49%56%56%61%60%
Change4%3%-2%4%1%1%2%2%1%
F6R.It is often unpleasant to work with staff from other hospital units.Most Recent67%64%62%59%58%60%55%66%58%
Previous64%61%64%56%56%59%53%64%58%
Change3%3%-2%3%2%1%2%2%0%
F10.Hospital units work well together to provide the best care for patients.Most Recent77%68%73%72%60%66%67%72%71%
Previous75%66%71%69%60%65%66%69%70%
Change2%2%2%3%0%1%1%3%1%
10.Staffing
A2.We have enough staff to handle the workload.Most Recent69%55%58%46%47%56%56%57%54%
Previous69%55%51%44%47%54%54%56%53%
Change0%0%7%2%0%2%2%1%1%
A5R.Staff in this unit work longer hours than is best for patient care.Most Recent59%49%52%45%59%56%58%59%50%
Previous59%49%48%45%59%55%56%58%50%
Change0%0%4%0%0%1%2%1%0%
A7R.We use more agency/temporary staff than is best for patient care.Most Recent72%62%65%63%72%75%71%74%64%
Previous72%59%58%62%72%72%69%71%63%
Change0%3%7%1%0%3%2%3%1%
A14R.We work in "crisis mode" trying to do too much, too quickly.Most Recent58%52%53%47%42%49%51%57%52%
Previous57%51%49%46%41%46%49%56%50%
Change1%1%4%1%1%3%2%1%2%
11.Handoffs & Transitions
F3R.Things "fall between the cracks" when transferring patients from one unit to another.Most Recent44%40%36%47%19%43%36%37%44%
Previous43%39%32%45%17%42%34%35%43%
Change1%1%4%2%2%1%2%2%1%
F5R.Important patient care information is often lost during shift changes.Most Recent53%47%40%58%33%55%47%47%51%
Previous52%47%36%56%33%54%45%45%51%
Change1%0%4%2%0%1%2%2%0%
F7R.Problems often occur in the exchange of information across hospital units.Most Recent47%44%36%47%28%46%40%43%45%
Previous46%42%37%43%27%45%37%41%45%
Change1%2%-1%4%1%1%3%2%0%
F11R.Shift changes are problematic for patients in this hospital.Most Recent48%40%38%49%30%49%41%42%44%
Previous46%39%33%45%31%48%39%41%42%
Change2%1%5%4%-1%1%2%1%2%
12.Nonpunitive Response to Error
A8R.Staff feel like their mistakes are held against them.Most Recent69%47%55%43%57%50%47%57%46%
Previous68%47%57%41%58%50%46%57%47%
Change1%0%-2%2%-1%0%1%0%-1%
A12R.When an event is reported, it feels like the person is being written up, not the problem.Most Recent70%45%47%37%57%48%44%53%42%
Previous67%43%49%36%57%47%41%52%41%
Change3%2%-2%1%0%1%3%1%1%
A16R.Staff worry that mistakes they make are kept in their personnel file.Most Recent51%33%37%28%43%35%33%44%32%
Previous48%31%42%27%41%34%31%44%31%
Change3%2%-5%1%2%1%2%0%1%

Note: The item's survey location is shown to the left. An "R" indicates a negatively worded item, where the percent positive response is based on those who responded "Strongly disagree" or "Disagree," or "Never" or "Rarely" (depending on the response category used for the item).

Return to Appendix D

Page last reviewed December 2012
Internet Citation: Table D-6. Trending: Item-Level Average Percent Positive Response by Staff Position: Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2012/hosp12tabd6.html